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Home My WebLink About14558-zFORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-19458 Date OCTOBER 17, 1990 THIS CERTIFIES that the building Location of Property 665 BAYVIEW DRIVE House No. County Tax Map No. 1000 Section 37 Subdivision ADDITION EAST MARION~ N.Y. Street Hamlet Block 1 Lot 20 Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated JANUARY 6~ 1986 pursuant to which Building Permit No. i4558-Z dated FEBRUARY 24, 1986 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ADDITION TO EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to HELEN KATSAROS (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL UNDERWRITERS CERTIFICATE NO. PLUMBERS CERTIFICATION DATED N-152814 - OCTOBER 2~ 1990 // f ~u~ d~ng Inspector Rev. 1/81 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N. Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) 2/'.) 14558 Z Permission is hereb/granted to: , County Tax Mop No. 1000 Section ....C).,.~..~. ....... Block ...... ..~...I ........ Lot No.......~.....g~., ........... pursuont to opplication dated ~~.....~. ................... , 19.'...~., and approved by the Building Inspector, Fee $, ~./..~.. Building Inspector Rev. 6/30/80 %~ I ~,~ D INSPECTION 1. FOUNDATION 1st), COMMENTS FOUNDATION (2nd) 2. ROUGH FRAME & PLUMBING INSULATION PER N. STATE ENERGY CODE FINAL ADDITIONAL COMMENTS: Form No. 6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 q APPLICATION FOR CERTIFICATE OF OCCUPANCY "~ : · %. This application' must be filled in by typewriter OR ink and submitted to the building inspector with the following: for new building or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept.. of water supply and sewerage-disposal(S-9 form). 3. Approval of electrical i%%stallation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. r 5. Commercial building, indus, trial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from~architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. '.' 2. A properly completed application and a consent to inspect signed by the applicant. If a Certificate o£ Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees I. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00. Businesse~ $50.00. 2. Certificate of Occupancy on Pre-existing Building - $i00.00 3. Copy of Certificate of Occupancy - $5.00 over 5 years - $10.00 Upda[~d Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $1~.O0,/Commercial $15.00 ' ::~w Construction ...... ; .... Old Or Pre-existing Building ....... Onwer or Owners of Property ......................................................... County Tax Map No i000, Section. l?/j? .Block. / ........................... Lot .... 6'.3 ............ bdi i - i Su sion .................................... Filed Map ............ Lot .......... . ............ Date Of Permit ..... ~.../.q'A~..Applicant ............................ [~ealth Dept Approval Underwriters Approval ,, Planning Board Approval ........................ Request for: Temporary fertificate ........... Final Ce~ticate ........... TOWN OF SOUTHOLD OFFICE Or nUH~D~N~ IN~?ECTOR P.O. BOX 728 TOWN HALL SOUTI{OL~), N.Y. 11971 July 31, 1990 TEL. 765-1802 29-15 Broadway Astoria, N.Y. 11106 To Whom This;~May Cogcern, Wo are unable to complete your Certificate of Occupancy because.of the following reasons. /Z/ An application for Certificate of Occupancy is not on file. /~No Underwriters Certificate un file. /5/ The check is(outdated/not on file.) /Z/ No 11ealth Dept. Approval on file. /5/ No final inspection has been made. Please contact our office on this matter. Thank you for your cooperation. Building Permit t~ I 4 5 5 8 Z Building Dept. ***/Z/ No Plumber Solder Certificate on file. all permits involving plumbing being issucd after April 1,1984 ) THE NEW YORK BOARD OF FIRE UNDERWRITERS ~'[)(}[~]~'~' BUREAU OF ELECTRICITY ~- 8B JOHN STREET, NEW YORK, NEW YORK 10038 Date OCTf;~'¥'~;~ (~ tg~JO Applica~ionNo. onfile ~3g[~()~6/~(~ ~ THIS CERTIFIES THAT only the electrical equipment ~ ~scribed be~w a~ introduced by the applicant ~med on the a~e application number in the premises in the follo~ing location; ~ Basement ~ 1st Fl. ~ 2nd FI. O~]'t' Section Bl~k Lot . REF'~'~;}~I~ 20 t990 FIXTURE OUTLETS ~ECECEPTACLEE SWITCHES / FIXTURES RANGES OVENS DISH WASHERS EXHAUST FANS DRYERS FURNACE MOTORS TIME CLOCKS UNIT HEATERS MULTI-OUTLET SYSTEMS NO, OF FEET DIMMERS SERVICE DISCONNECT S E R V I C OTHER APPARATUS= ~,L F, <7, f: '2 NO OF NEUTRALS OF NEUTRAL PA[iL ii, BURNS GENERAL MANAGER Per ,5 This certificate must not be altered in any mcmner; return to the oJJice of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICAT~ M~UST NOTBE ALTERED IN ~ MANNER. 765-1802 BUILDING DEPT, INSPECTION [ ] FRAMING REMARKS: [ ] FOUNDATION 1ST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FINAL INSPECTOR 76S-1802 BUILDING DEPT. INSPECTION FOUNDATION 1ST [ ] ROUGH PLBG. FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL REMARKS: ,, ,~ 'FORM NO. 1 TOWN OF SOUTHOLO BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL.: 765-1803 Approved .x~.~..~--:--~.~., 19~ Permit No Disapproved a/c ..................................... (Building Inspector) APPLICATION FOR BUILDING PERMIT TOWN OF SOUTHOLD Received ........... ,19... J~,m,~ry 6~ 198,619. Date ............. - ...... INSTRUCTIONS a. This application must be completely filled in by Wpewriter or in ink and submitted to the Building Inspector, with 3 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of this appli- cation. c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until a Certificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions or alterations, or for removal or demolition, as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary !nspections. ~,. _~ ~j~ (Signature of applicant, or name, if a corporation) ~80..~ ob5~.so~. }2,c~, . G.r.e~o.~t, · M....~ .......... (Mailing address of applic, ant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, phimber or builder. ........... Builder ............................................ Name of owner of pre~nises l'le I ~'o K~,t s a,ro.~ (as on the tax roll or latest deed) If applicant is a corporation, signature of duly authorized officer. (Name and title of corporate officer) Builder's License No....2~ ..................... Plumber's License No....~.o..b.f. ? .i.e. .er). y.~c]. ..... Electrician's License No ....................... Other Trade's License No ...................... 1. Location of land on which proposed work will be done .................................................. ......... .~.{',.,5. .......... . .y~ ?,yy.i.q*.r. J).r.J, y9 .... Ga.,rO.i.n e. yT..Ba.y..o-.5~. 7~.~?.~,...~3.q~.. ¥}kr.i. qn. ,..N.: ..Y:. ltouse Number Street Hamlet County 'fax Map No. 1000 Section ..... '..~. Z ........ Block .... / ............. Lot.. '..~..c? ....... '..~... Subdivisiou ..................................... Filed Map No ............... Lot (Name) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy ....O. qq~l?}.q5. T.e: .~. ~ ?.t,.~ %]. fl.w.~l. ! .i.n.g ............................... b. Intended use and occupancy .... ~.m:?, . . . .acqe~l..~ .............................. 3. Nature of work (check which applicable): New Building ..... ' ..... Addition .......... Alteration ...... ' R i R al D liti ' Otb r Work epar .......... . .... emov ..... , ........ cmo on ............ ,.. e ............... (Description) 4. Estimated Cost .$. 1.0.~.Q0..0, ........................... Fee ........... ........................... · ~ ~to be p~id on filing this application) 5. If dwelling, number of dwelling units..qB fl .......... -Number of dwelling units! on each floor on e If garage number of cars non e ' ' 6. If business, commercial or mixed occupancy, specify nature and extent of each typ~ of use .................. 7.' Dimension~ ~f~existing structures, if any: Front.. ~p.t .......... Rear .. B.O. *...i: ...... Depth ...4.8. '. ......... Height ...~ Y ........... Number o f Stories.. 9P P ............. Dimensions of same structure with alterations or additions: Front . ~.q*. ........ I .... Rear gO ' r.~, Height 15~ one Depth .. ,e ~. ....................................... Number of Stories ...................... 8. Dimensions of entire new construction: Front ................ Rear ......... [. Depth Height Number of Stories Size oflot: Front lnl' . Rear 2~" ........................ , ................... Depth ........... ~g ..... Date of Purchase Name of Former Owner Zone or use district in which premises are situated ~o s ~ ~ on ~ ~. ~, : Does proposed construction violate any zoning law, ordinance or regulation: Will lot be regraded . .n..o ........................ Will excess fill be removedi from premises: X Yes No Name of Owner of premises .Hol es..¥M~,q.~,r O..q... Address .. &'~.~.q~-~ . .;., Phone NoTM. ..7.2.8. ,4.0..5.2.. Name of Architect }1., .gs. Sha, l. ler Address krmonl ~,T~ y, ...... ....................... ~. ..... :.; .... -...;... Phone No ............. k' ' Nam e o f Contractor .q I. g.,..~.' .6 y.e.l.1 ............ Address . 9r e.~n. V ? ....... Phone No .5;l.6...4.7.7..0. 9. .9 p.. 10. 11. 12. 13. 14. PLOT DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and. indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show' street names and indicate whether interior or corner lot. Ple~,se refer to sheet #l of STATE OF NEW YORK, S.S COUNTY OF ............... i. · · ................ "." 7: '~;' . ~ .' ~ ' ................ being duly sworn, deposes and says that he is the applicant ( 1V1 u tract) above named. (Contractor, agent, corporate officer, etc.)i ~f said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this ~pplication; that all statements contained in this application are true to the best of his knowledge and belief; and that the ~ork will be performed in the manner set forth in the application filed therewith. ~worn to before me this ................. qotary Public, . County APPR(~VED AS NOTED F~E~,~,~- ,,B'~ ~/' ~'~-; i.oT,~ BU,LD'"G ~E.ARTME~ AT 765-1802 9 A~ TO 4 PM ~R~E FOLLOWING IN~PECTIONS: 1 FOUNDATION TWO REQUIRED FOR ~OU~D CONCRETE 2 ROUgh ~r~A~ING & PLUMBING ~'3. INSULAtIOn ~ FINAL C{"~STRUCTION MUST ,,% ¸92- STATE CONS ~RUCI'~ON ,